3 stages of swelling

The nose swelling after rhinoplasty is a natural response of the body to the surgical intervention and the healing process. It is divided into three distinct stages: acute, subacute and late swelling.

Acute

Acute swelling is the first phase of the healing process, occurring immediately after the surgery. This stage is characterised by significant swelling and bruising, as the body responds to the surgical trauma. The extent of bruising and the location is frequently dependent on the amount of surgery that was required. The acute swelling is most pronounced during the first 72 hours post-operation and can cause a feeling of tightness or discomfort around the nasal area. During this phase, it is really important to thoroughly follow the post-operative care instructions.

Subacute

Following the initial few days, the swelling transitions into the subacute phase, which lasts from the end of the first week to about the end of the second month after surgery. During this stage, the swelling gradually decreases as the body advances in its healing process. However, the decrease in swelling is not uniform and can fluctuate, often influenced by factors such as activity levels, head position, dietary choices and overall health.

Late

The final stage of swelling can persist from the third month up to a year or even longer in some cases. This phase is defined by a slow but steady resolution of the remaining swelling, mainly affecting the skin and soft tissues of the nasal tip. The late swelling after rhinoplasty is often less noticeable to others, but may cause concern for patients eager to see their final results. If you have any concerns, you should contact your surgeon. As an Adoreal user, you can easily get in touch with them through the platform.

Timeline

The recovery timeline is a gradual journey towards healing and seeing the full results of your procedure. Don’t be surprised if there are ups and downs with the swelling. That can be expected. While individual experiences may vary, a general recovery timeline can help you set expectations and prepare for the changes and progress in the weeks following surgery. This is what you can expect in terms of post-rhinoplasty swelling.

One week after surgery

During the initial week following rhinoplasty, the body begins the healing process, and patients typically experience the most intense stages of swelling and bruising. By the end of the week, most patients notice a significant reduction in visible swelling, although the nose will still be delicate and sensitive.

Two weeks

By the two-week mark, patients typically notice a significant reduction in initial swelling. At this stage, swelling has begun to transition from the acute phase to the subacute phase, with gradual improvements becoming more noticeable.

3-4 weeks

Between three to four weeks after surgery, patients often return to their regular daily activities, with much of the visible swelling and bruising resolved. However, some degree of subtle swelling will persist, especially on the tip of the nose.

6 weeks

At six weeks post-op, patients often experience a significant turning point in their recovery process. By this time, the majority of swelling has subsided, allowing for a clearer view of the nose's new shape. Although, you should note that subtle swelling will still persist, particularly around the nasal tip.

3-6 months

The period between three to six months after surgery is marked by continued healing and the gradual resolution of residual swelling. The nasal tissues will start to soften, and the final contours of the nose will become more defined. Patients will begin to see a more accurate representation of the final outcome during this phase.

12-18 months

After 12 to 18 months post-surgery, the majority of patients will see the final results of their procedure. Swelling  should have resolved, revealing the nose's improved shape and contours.

What you can do to reduce swelling:

There are actually several measures you can take to help reduce its severity and duration, supporting a smoother and more comfortable recovery.

• Keep your head elevated above your heart, especially during sleep; use extra pillows or a foam wedge to maintain elevation. Bending over and having your head down will cause the swelling to increase and persist.
• Apply cold compresses around the swollen areas, avoiding direct contact with the nose, in the first 48 to 72 hours post-surgery.
• Water helps flush toxins from the body and reduces the likelihood of fluid retention; make sure to stay hydrated.
• Consuming foods rich in vitamins and minerals can support the body's healing process; foods high in sodium should be avoided as they can exacerbate swelling.
• Physical activity can increase blood flow and, consequently, swelling; make sure to avoid heavy lifting and strenuous exercise until your surgeon says it’s alright.
• Smoking and alcohol consumption can impair healing and worsen swelling; stay away from it
• Your surgeon will provide detailed care instructions tailored to your specific needs.

When to get in touch with your surgeon:

While some degree of swelling and discomfort is normal following rhinoplasty, certain signs warrant immediate communication with your surgeon.

• Excessive swelling
• Severe pain or discomfort
• Signs of infection
• Breathing difficulties
• Unusual symptoms
• Excessive bleeding.  Some oozing is expected.

Make sure you don't wait for a scheduled follow-up-appointment if you experience any of the above symptoms or have concerns about your healing process. Your surgeon's priority is your health and safety, and they are there to support you throughout your recovery.

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